Provider Demographics
NPI:1558962613
Name:LORENZ, RILEY ELIZABETH (DC)
Entity Type:Individual
Prefix:
First Name:RILEY
Middle Name:ELIZABETH
Last Name:LORENZ
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 BROWERS CHAPEL RD
Mailing Address - Street 2:
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27205-7983
Mailing Address - Country:US
Mailing Address - Phone:336-625-9191
Mailing Address - Fax:
Practice Address - Street 1:180 BROWERS CHAPEL RD
Practice Address - Street 2:
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27205-7983
Practice Address - Country:US
Practice Address - Phone:336-625-9191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-05
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5275111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5275OtherNC BOARD OF CHIROPRACTIC EXAMINERS